Individual provider Active NPI

Luciana Peacock, LPC

  • Professional Counselor
  • Cypress, TX
National Provider Identifier
1215598305
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
77150 Issued in TX
Practice address
9215 Opal Shores CT
Cypress, TX 77433-0110
Phone
(281) 705-5487
NPI assigned
Jun 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 77150 TX
Professional Counselor 101YP2500X 77150 TX Primary

Addresses

Primary practice location

9215 Opal Shores CT
Cypress, TX 77433-0110

Mailing address

9215 Opal Shores CT
Cypress, TX 77433-0110
Phone (281) 705-5487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240603003312 TX Practitioner - Mental Health Counselor 5991247181 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
77150TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince Dec 4, 2025 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Dec 4, 2025 Accepting new patients
Thrive Counseling LLC Mental Health CurrentSince Apr 30, 2024 Accepting new patients

Locations

3030 North St
Ste 500
Beaumont, TX 77702
Phone (409) 212-1533

1000 Post and Paddock St
Ste 102
Grand Prairie, TX 75050

5420 Dashwood Dr
Ste 100
Houston, TX 77081
Phone (713) 486-2900

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

16310 Tomball Pkwy
Ste 104
Houston, TX 77064
Phone (210) 864-1420

23410 Grand Reserve Dr
Ste 301
Katy, TX 77494
Phone (281) 500-8659

14030 Florence Rd
Sugar Land, TX 77498

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1215598305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9215 OPAL SHORES CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774330110",
            "telephone_number": "281-705-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9215 OPAL SHORES CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774330110",
            "telephone_number": "281-705-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "LUCIANA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "77150",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.